Permit (146) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00251
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2018
Parcel: 2S110BA05900
Site address: 14260 SW MCFARLAND BLVD Jurisdiction: Tigard
Project: KELLY Subdivision: SHADOW HILLS NO.2 Lot: 42
Project Description: Connecting(1)new range hood to existing ventilation.
Contractor: INTEGRITY AIR LLC Owner:
KELLY, MARK B&GAIL E
16756 SW 72ND AVE 14260 SW MCFARLAND BLVD
PORTLAND, OR 97224 TIGARD, OR 97224
PHONE: 503-572-3594 PHONE:
FAX: 503-598-8498
FEES
Specifics: Description Date Amount
Range Hood/Other Kitchen 04/17/2018 $33.39
Type of Use: SF 12%State Surcharge-Mechanical 04/17/2018 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 04/17/2018
Occupancy Grp: $56.61
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0.•'. Y. ay obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800. .23� �
Issued By: Permitte Signature: rttik k,�
Call 503.639.4175 by 7:00 a.m.for the next available inspection date
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica
'; r kOR OFFICl: l Sl:0111.1
City of Tigard Received
13125 SW Hall Blvd.,Tigard,OR 97223 7 i j , Date/By: W Permit No.: �.
Ili Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
Date/By: Other Permit: 7 "i
f G R D Inspection Line: 503.639.4175 ,r 4 � ,_/�>
Internet: Line:www.tigard-or.gov I I t ``` a :are Date Ready/By: S See Page 2l for
Notified/Method: Supplemental Information
, I
TYPE OF OKI COMMERCIAL vie Sf'I D1)LE COECK01. ST ..
1 New construction Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CAflwCxf RY OF CO � Ohl Value:$
` RESIDEIMALtgiTIPMENT/.4YSTEMS, ' •< `.
® 1-and 2-family dwelling 0 Commercial/industrial
0 Accessory building For special information use checklist
0 Multi-family 0 Master builder
0 Other: Description
Qty. Ea. Total
JOB sax;IIri F0R141ATfOF,/01 411014 Heating/cooling:
Air conditioning 46.75 site address: ( Z ��j MC L tOBLV ) Furnace 100, 00
BTU(ducts/vents) 46.75
City/State/ZIP: 17 61,14)--0 Of2 C�7 22'I,y Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: L 1 Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
1: k ie-L--
��TAJ _ ,�j Residential boiler(radiator or
k. r" i( 4 OA f ,1 tt'1W7 hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater
23.32
D ;ROTIO (*WORK(IRK Gas fireplace/insert 33.39
Single family residence _,n� Flue vent for water heater or gas
` 1i� /'( ,�; ci fireplace 23.32
v Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
t a >I{I«I"Ei O�F Other: 23.32
,Q�,f) � Environmental exhaust and ventilation:
Name: � K G---LL--; Range hood/other kitchen
Address: 5ZJ 1 }�1`J t..tJ I/n equipment 1 33.39 , 3, "7
9 Clothes dryer exhaust 33.39
City/State/ZIP:Tigard/OR/97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503) Fax:( ) Attic/crawlspace fans
P 23.32
i4'APOuc rr oNT,iter Plasm, Other: 23.32
Business name:Black Diamond Homes,Inc Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Jeff Bettinelli
Furnace,etc.
Address:15685 SW 116th Ave.Ste 290 Gas heat pump
City/State/ZIP:Tigard/OR/97224
Wall/suspended/unit heater
Water heater
Phone:(503)201-6304 Fax::( ) Fireplace
Range
E-mail:Jeff@blackdiamondhomesinc.com
Barbecue
OI AC'J'OR:? Clothes dryer(gas)
Business name:Integrity Air LLC Other:
Address:7301 SW Kahle Ln,STE 500 ME 1 NICAl I ,
Subtotal
City/State/ZIP:Portland/OR/97224 Minimum permit fee($90.00) go clo
Plan review(25%of permit fee)
Phone:(503)572-3594 Fax:( )
State surcharge(12%of permit fee) M
CCB lie.:203869 TOTAL PERMIT FEE till57),
`
This permit application expires if a permit is not obtained within 180
Authorized signature: j ri
days after it has been accepted as complete.
/
s P kn�ai"/ Fee methodology set by TriCounty Building Industry Service Board
Print name:Jeff Bettinelli Date: V17/1 b
I_\Building\PermitAMEC_PermitApp 040113.doc 47T(11//02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14260 SW MCFARLAND BLVD, TIGARD, June 13, 2018 at 1 :35:07 PM
OR, 97224
Record Type: Record ID:
Residential - Mechanical MEC2018-00251
Inspection Type: Inspector:
699 Mechanical final Allyson Armstrong
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor